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护士将基于证据的变化纳入实践的经验:一种定性研究
Homeira Khoddam1, Mahnaz Modanloo1, Neda Mehrdad2
1School of Nursing and Midwifery, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Nursing open
|June 16, 2023
概括
新生儿和NICU护士描述了在疼痛管理中基于证据的实践变化的经验,从最初的抵抗转向通过支持性环境的坚持和面对挑战. 实现了多维的改进.
科学领域:
- 护理 护理 护理
- 基于证据的实践.
- 疼痛管理 疼痛管理
背景情况:
- 实施基于证据的实践 (EBP) 对于改善新生儿和新生儿重症监护室 (NICU) 的患者护理至关重要.
- 了解护士的经验是成功将EBP整合到新生儿疼痛管理中的关键.
研究的目的:
- 探索新生儿和NICU护士在实施基于证据的新生儿疼痛管理实践变革期间的实践经验.
主要方法:
- 使用Elo和Kyngäs模型进行定性常规内容分析.
- 通过11个半结构面试,5个焦点小组讨论和观察收集的数据.
- 在新生儿和NICU环境中工作的护士的有目的抽样.
主要成果:
- 四个新兴的主题是:"支持和鼓励的氛围"",从抵抗到坚持的旅程"",实现多维改进"和"面对阻碍性挑战".
- 护士的经验包括最初的抵抗,适应和最终的接受,这些都是积极的环境所促进的.
- 成功实施涉及克服各种障碍,以实现改善疼痛管理结果.
结论:
- 支持性的工作环境和应对挑战对于在新生儿疼痛管理中成功实施EBP至关重要.
- 通过EBP采用护士的旅程强调了需要量身定制的支持和战略来克服阻力.
- 促进对基于证据的新生儿疼痛管理的坚持,可以显著改善护理质量.
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